Billing Specialist (Administrative)

Position Title: Billing Specialist
Reports To: Revenue Cycle Coordinator
FLSA Status: Non-Exempt
Location: [Insert Location]
Probation Period: Three (3) months
Position Summary
The Billing Specialist reports to the Revenue Cycle Coordinator and is responsible for accurate billing and coordination with Managed Care Providers (MCPs). This role ensures the timely entry, processing, and reconciliation of billing-related data, supports compliance with health care regulations, and may assist with medical records and contract-related reporting.
Essential Responsibilities

Accurately enter billing charges, corrections, and reconciliations.

Log and deposit incoming payments via appropriate channels.

Maintain and update patient records to support billing and care coordination.

Input patient demographics, clinical history, diagnostic procedures, and treatments into records.

Coordinate and collaborate with MCPs regarding audits and contractual matters.

Maintain and organize health record indexes and support data collection/analysis.

Review patient records for accuracy, completeness, and compliance with regulations.

Ensure compliance with all program policies, procedures, and HIPAA standards.

Participate in program meetings and support administrative operations, including front desk coverage and preparing reports.

Assist the Revenue Cycle Coordinator with billing and contract-related tasks.

Maintain professional communication with clients, staff, and supervisors.

Complete additional duties as assigned.

Minimum Qualifications

High school diploma or equivalent required.

Successful office or secretarial experience required.

Preferred: Two (2) years of college with a focus in Business Administration or completion of a certified secretarial program.

Knowledge, Skills, and Abilities

Understanding of medical billing codes, terminology, insurance, and government reimbursement requirements.

Proficient in data entry and use of Electronic Health Records (EHR) systems.

Ability to perform basic math calculations accurately.

Intermediate-level skills in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint), Office 365, Teams, Zoom, and other communication platforms.

Effective written and verbal communication skills in English.

Professional and courteous interpersonal skills.

Ability to manage sensitive information with discretion.

Requirements

Valid drivers license and access to a reliable, insured vehicle (agency approval required).

Ability to maintain professional relationships with staff, vendors, and partners.

Work Environment

Primarily office-based with frequent computer, phone, and interpersonal work.

Occasional travel between clinic sites may be required.

Regular use of office equipment and software.